Preston Urgent Care Family Practice, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

30549 Issued in WV

Legal business name

PRESTON URGENT CARE FAMILY PRACTICE, LLC

Practice address

411 Morgantown St
Kingwood, WV 26537-1095

Phone

(304) 329-0555

NPI assigned

Dec 30, 2011

Last updated

Apr 8, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peggy S. Phillips

Title

Nurse Practitioner/Owner

Phone

(304) 329-0555

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1720358252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MORGANTOWN ST",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371095",
            "telephone_number": "304-329-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MORGANTOWN ST",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371095",
            "telephone_number": "304-329-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON URGENT CARE FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "304-329-0555"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "30549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preston Memorial Hospital Corporation
• Preston Memorial Hospital Corporation
• Preston Memorial Hospital Corporation
• Preston Memorial Medical Group (PMMG Women's Health Center)
• Preston Rehabilitation & Orthopedic Physical Therapy, Inc
• Jennifer A Pumphrey, MD
• Kristin Pyles
• Julia E Ramberg, MD
• Joyce F Rankin
• Heather Lynn Reckart, FNP-BC

• Family Nurse Practitioner in Kingwood, WV
• Providers in Kingwood, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.